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General NPI Number Information
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NPI Number | 1134761786
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR HEALTH CENTER PLLC
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Dates
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Enumeration Date | 10/16/2019
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 4211 HOSPITAL ST STE 202
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City | PASCAGOULA
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State | MS
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Zip | 39581-5310
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Country | US
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Telephone | 228-372-8270
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Fax | 228-372-8271
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Provider Business Mailing Address
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Address Line | 4211 HOSPITAL ST STE 202
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City | PASCAGOULA
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State | MS
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Zip | 39581-5310
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Country | US
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Telephone | 228-372-8270
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Fax | 228-372-8271
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Authorized Official
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Title or Position | OWNER
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Name | DR. HUGO A QUINTANA
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Credential | MD
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Telephone | 228-372-8270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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